@article{3034787,
    title = "A New Scoring Model to Diagnose COVID-19 Using Lung Ultrasound in the
Emergency Department",
    author = "Eltahlawi, Mohammad and Roshdy, Hesham and Walaa, Mohammad and Manthou, and Panagiota and Garaygordobil, Diego Araiza and Elshabrawy, Mohammad and and Elkholy, Mohamed and Basha, Mohammad Abdelkhalek and Tharwat, Marwa and and Mansour, Waleed",
    journal = "EGYPTIAN JOURNAL OF BRONCHOLOGY",
    year = "2022",
    volume = "16",
    number = "1",
    publisher = "Springer-Verlag",
    doi = "10.1186/s43168-021-00102-w",
    keywords = "COVID-19; SARS-CoV-2; Lung ultrasound; Corona Virus; Pneumonia; New
Score",
    abstract = "Background: Several studies have reported the predictors of the
prognosis in COVID-19 patients; however, smoking, X-ray findings of
pulmonary congestion, and A-profile and areas of consolidation in LUS
are independent predictors for COVID-19 infection. The new score had a
sensitivity of 93.8% and a specificity of 58% for the prediction of
COVID-19. Mortality in COVID-19 patients is significantly correlated
with age, fever duration, cardiac history, and B-profile and areas of
consolidation in LUS. However, it is negatively correlated with initial
O-2 saturation and ejection fraction. This study aimed to design a new
scoring model to diagnose COVID-19 using bedside lung ultrasound (LUS)
in the emergency department (ED).
Results: Eighty-two patients were recruited. Fifty patients (61%) were
negative for COVID-19, and 32 (39%) were positive. Sixty-four patients
(78%) recovered while 18 patients (22%) died. COVID-19 patients had
more AB-profile and more areas of consolidation than the non-COVID-19
group (p<0.001). Smoking, congestion in X-ray, A-profile, and abnormal A
line in LUS are independent predictors for COVID-19 infection. The score
had a sensitivity of 93.8% and a specificity of 58% for the prediction
of COVID-19. Mortality in COVID-19 patients is significantly correlated
with age, fever duration, cardiac history, and B-profile and areas of
consolidation in LUS. However, it is negatively correlated with initial
O-2 saturation and ejection fraction.
Conclusions: In conclusion, the application of our new score can
stratify patients presented to ED with suspected COVID-19 pneumonia,
considering that it is a good negative test. Moreover, this score may
have a good impact on the safety of medical personnel."
}